A 48-year-old man presents with central chest pain for 2 hours. ECG is normal, troponin is pending, and he is hemodynamically stable. What is the most appropriate next step in management?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. Serial ECGs over the next few hours
In suspected ACS the first ECG is normal or non-diagnostic in about a third of cases, so with a pending troponin and a stable patient you repeat the ECG serially (every 15–30 min in the first hour) alongside serial troponins. Thrombolysis is only for STEMI, which this ECG does not show, and corticosteroids have no role.
ليش كل خيار صح أو غلط
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A
ليش غلط
Fibrinolysis is not beneficial in NSTEMI and is considered only in STEMI; this patient's ECG shows no ST elevation.
✓ Step-Up To Medicine 6th (IHD & ACS).pdf · p. 16 -
B
ليش صح
The first ECG may be normal or non-diagnostic in one third of ACS cases, so repeat ECGs every 15–30 min in the first hour.
✓ CARDIOLOGY- ISCHEMIC HEART DISEASES (IHDs).pdf · p. 8
- المصدر
- CARDIOLOGY- ISCHEMIC HEART DISEASES (IHDs).pdf · p. 8
- المحاضرة
- Acute Coronary Syndrome · Cardiology · Module B
- ظهر في
- MED43 ♀ Quiz B